Geriatric Rehab Flashcards
True or false: normal aging does not necessarily translate to disability
True
By 2030, what fraction of americans will be over the age of 65?
1 out of 5
What are the top two leading causes of death for the elderly? Percentages?
Heart disease = 28%
CA = 22%
What percent of individuals over 65 will have chronic conditions?
86%
What percent of individuals over 65 will have difficulties with ADLs?
52%
What is the focus of geriatric rehab?
Maximal (not necessarily normal) functional abilities
What is geriatric rehab?
intervention to assist disabled older ppl to optimal physical, psy, social skills
What are the three things that rehab of older pts focuses on?
- increase their level of independence
- live in the most satisfying environment
- maintain social engagement and involvement
What percent of old ppl can walk a mile?
40%
What is the goal of rehab?
Function and independence
What are the four areas of the functional, disability and health model?
- Body functions/structures
- Activities
- Participation
- Contextual factors
What are six possible consequences of disabilities?
A. increased rate of mortality
B. decreased life span
C. increase risk of acquiring chronic health issues
D. increased risk of institutionalization
E. increased use of the health care system
F. frailty – medically complex elderly
What are the three principles of geriatric rehab?
- Variability of the elderly (age =/= performance)
- Activity = cornerstone
- Optimal health is related to optimal functioning
True or false: age is a performance predictor
False
Decreased activity = ?
Decreased function
What is the cornerstone of rehabilitation?
Activity
What are the components of the BEDREST mnemonic?
B – bladder/bowel incontinence, bedsores E – emotional distress D – deconditioning, depression, demineralization of bones R – ROM loss E – energy depletion S – sensory deprivation T – trouble
What are the three main purposes of an elderly functional assessment?
- Determine current functioning
- Determine need for intervention
- Determine d/c or placement
What are the two things to consider when determining the need for intervention?
Setting/ team member
Duration
What are the three things to consider when determining the current functioning level?
Baseline?
Goals?
Are goals attainable?
What are the components of the elderly functional assessments?
- ADLs – bathing, dressing, feeding, etc.
- IADLs – driving, shopping, home care, medication manage., etc.
- mobility – community negotiation
True or false: work environment is a geriatric rehab environment
True
What are the four parts of the rehab process on the Dr’s side?
- diagnosis/prognosis
- determination of intervention site: hospital, outpatient, home,
- anticipated outcomes – if known
- identification of team - other referrals
What are the parts of the therapist’s part of the rehab process?
Exam Eval Dx Plan d/c
What percent of LGBT adults do not disclose their orientation to a physician?
20%
What percent of LGBT adults have a disability?
50%
True or false: the goal of geriatric rehab is the attainment of normal functional abilities?
False–attainment of Maximal abilities
Who is appropriate for geriatric rehab?
Anyone who needs help with movement
